The external audit as a tool for improving medical care
D. O. Ivanov,
V. I. Orel,
Y. V. Petrenko,
A. V. Kim,
V. M. Sereda,
N. A. Gurieva,
V. I. Smirnova,
L. L. Sharafutdinova,
T. I. Buldakova,
A. G. Kulev,
A. K. Ushkats,
Z. A. Roslova,
A. M. Kakanov https://doi.org/10.25789/YMJ.2024.86.11
Abstract
Based on the results of the expert assessment of the medical records of children who received treatment in the 24-hour hospital, the following was revealed: 75% (2021) and 25% (2022) of patients were unreasonably hospitalized; there was an overlap between the flows of patients with infectious and somatic pathology; records in the medical history do not reflect a complete review of the patient and the dynamics of observation; there is no justification of the diagnosis and prescription of medications; the time of observation, transfers and examination of patients is not indicated; when consulting with other specialists, there are no records in the medical history of the patient; there is a lack of justification and interpretation of instrumental and laboratory tests, etc. The identified problems should be taken into account when developing organizational measures for improving medical care for children in hospital.
About the Authors
D. O. Ivanov
FSBEI HE Saint Petersburg State Pediatric Medical University MH RF
Russian Federation
Russian Federation
MD, Professor, Rector FSBEI HE Saint Petersburg State Pediatric Medical University MH RF, SPIN code: 4437-9626; AuthorID: 187004
V. I. Orel
FSBEI HE Saint Petersburg State Pediatric Medical University MH RF
Russian Federation
Russian Federation
Honored Worker of Science of the Russian Federation, MD, Professor, Vice-Rector for Research, Head of the Department of Social Pediatrics and Health Care Organization of the Faculty of Postgraduate and Additional Vocational Education of FSBEI HE Saint Petersburg State Pediatric Medical University MH RF, SPIN-code: 8882-8738; AuthorID: 400791
Y. V. Petrenko
FSBEI HE Saint Petersburg State Pediatric Medical University MH RF
Russian Federation
Russian Federation
PhD in Medicine, Vice-Rector for National Projects and Therapeutic Work, Faculty of Postgraduate and Additional Vocational Education of FSBEI HE Saint Petersburg State Pediatric Medical University MH RF, SPIN-code: 1644-1394; AuthorID: 407165
A. V. Kim
FSBEI HE Saint Petersburg State Pediatric Medical University MH RF
Russian Federation
Russian Federation
MD, Associate Professor, Professor of the Department of Social Pediatrics and Health Care Organization, Faculty of Pediatrics and Health Care Organization, Faculty of Postgraduate and Additional Vocational Education of FSBEI HE Saint Petersburg State Pediatric Medical University MH RF, SPINcode: 3640-0781; AuthorID: 341746
V. M. Sereda
FSBEI HE Saint Petersburg State Pediatric Medical University MH RF
Russian Federation
Russian Federation
MD, Professor, Professor of the Department of Social Pediatrics and Health Care Organization of the Faculty of Pediatrics and Health Care Organization, Faculty of Postgraduate and Additional Vocational Education of FSBEI HE Saint Petersburg State Pediatric Medical University MH RF, SPIN-code: 3462-3753; AuthorID: 434059
N. A. Gurieva
FSBEI HE Saint Petersburg State Pediatric Medical University MH RF
Russian Federation
Russian Federation
PhD in Medicine, Associate Professor of the Department of Social Pediatrics and Health Care Organization of the of the Faculty of Pediatrics and Health Care Organization, Faculty of Postgraduate and Additional Vocational Education of FSBEI HE Saint Petersburg State Pediatric Medical University MH RF, SPIN-code: 8111-3775; AuthorID: 838319
V. I. Smirnova
FSBEI HE Saint Petersburg State Pediatric Medical University MH RF
Russian Federation
Russian Federation
PhD in Medicine, Associate Professor of the Department of Social Pediatrics and Health Care Organization, Faculty of Pediatrics and Health Care Organization, Faculty of Postgraduate and Additional Vocational Education of FSBEI HE Saint Petersburg State Pediatric Medical University MH RF, SPIN-code: 5742-3187; AuthorID: 1037260
L. L. Sharafutdinova
FSBEI HE Saint Petersburg State Pediatric Medical University MH RF
Russian Federation
Russian Federation
PhD in Medical Sciences, Associate Professor of the Department of Social Pediatrics and Health Care Organization, Faculty of Postgraduate and Additional Vocational Education of FSBEI HE Saint Petersburg State Pediatric Medical University MH RF, SPIN-code: 2230-8341; AuthorID: 905229
T. I. Buldakova
FSBEI HE Saint Petersburg State Pediatric Medical University MH RF
Russian Federation
Russian Federation
PhD in Medicine, Associate Professor of the Department of Social Pediatrics and Health Care Organization, Faculty of Postgraduate and Additional Vocational Education of FSBEI HE Saint Petersburg State Pediatric Medical University MH RF, SPIN-code: 2615-2714; AuthorID: 542528
A. G. Kulev
FSBEI HE Saint Petersburg State Pediatric Medical University MH RF
Russian Federation
Russian Federation
PhD in Medical Sciences, Associate Professor of the Department of Social Pediatrics and Health Care Organization, Faculty of Postgraduate and Additional Vocational Education of FSBEI HE Saint Petersburg State Pediatric Medical University MH RF, SPIN-code: 2781-6561; AuthorID: 1022610
A. K. Ushkats
FSBEI HE Saint Petersburg State Pediatric Medical University MH RF
Russian Federation
Russian Federation
PhD in Medical Sciences, Associate Professor of the Department of Social Pediatrics and Health Care Organization, Faculty of Postgraduate and Additional Vocational Education of FSBEI HE Saint Petersburg State Pediatric Medical University MH RF, AuthorID: 459064
Z. A. Roslova
FSBEI HE Saint Petersburg State Pediatric Medical University MH RF
Russian Federation
Russian Federation
PhD in Medical Sciences, Assistant of the Department of Social Pediatrics and Health Care Organization, Faculty of Postgraduate and Additional Vocational Education of FSBEI HE Saint Petersburg State Pediatric Medical University MH RF, SPIN-code: 4804-8108; AuthorID: 838306
A. M. Kakanov
FSBEI HE Saint Petersburg State Pediatric Medical University MH RF
Russian Federation
Russian Federation
Assistant of the Department of Social Pediatrics and Health Care Organization, Faculty of Postgraduate and Additional Vocational Education of FSBEI HE Saint Petersburg State Pediatric Medical University MH RF, SPIN code: 5186-2944; Author-ID:796031
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Review
For citations:
Ivanov D.O., Orel V.I., Petrenko Y.V., Kim A.V., Sereda V.M., Gurieva N.A., Smirnova V.I., Sharafutdinova L.L., Buldakova T.I., Kulev A.G., Ushkats A.K., Roslova Z.A., Kakanov A.M. The external audit as a tool for improving medical care. Yakut Medical Journal. 2024;(2):46-49. https://doi.org/10.25789/YMJ.2024.86.11
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